Role of Direct and Indirect Violence Exposure on Externalizing Behavior in Children

Abstract

The objective of this study was to examine the association between externalizing behaviors and indirect violence exposure, assessed both within the household and at the community level, as well as the interaction effect of indirect and direct violence exposure. A sample of parents of children ages 4–15 who have not been referred or enrolled in child welfare (n = 82) were recruited from the greater New Orleans community. Externalizing behavior was assessed with the Child Behavior Checklist (CBCL). The child’s indirect exposure to violence included witnessing community violence, witnessing physical assault, and witnessing fighting or domestic violence at home. Direct exposure to violence included the child experiencing physical aggression from a caregiver. All assessments were based on caregiver reports. To decrease potential for confounding, children were matched for analysis based on age, Hurricane Katrina exposure, and their propensity to be exposed to high indirect violence. Cumulative indirect exposure to violence was significantly positively correlated with CBCL scores. After controlling for key covariates, CBCL externalizing T score increased significantly by approximately 1.25 points for each level increase in indirect violence exposure (β = 1.25, SE = 0.57, p = 0.027). There also was a significant interaction between indirect and direct exposure to violence in the association with CBCL score (β = −0.08, SE = 0.03, p = 0.002). These findings extend previous research by demonstrating that exposure to both direct and cross-contextual indirect violence influences externalizing behaviors in children. Additionally, the findings suggest that community and household social environments are both important targets for interventions designed to decrease externalizing behaviors and improve long-term outcomes for youth at risk of exposure to violence.

Notes

Acknowledgments

This study was supported by grants from the National Institutes of Health (NIH; R01ES020447 and P60AA009803-RC5 to Dr. Theall, and R21MH094688 and R01MH101533 to Dr. Drury) and Centers for Disease Control and Prevention (CDC, R01CE002327 to Dr. Taylor).

Compliance with Ethical Standards

This study was approved by the Tulane University Health Sciences Center Institutional Review Board.

References

1.

Ştefan CA, Miclea M. A preliminary efficiency study of a multifocused prevention program for children with deficient emotional and social competencies. Procedia - Soc Behav Sci. 2010; 5: 127–139.CrossRefGoogle Scholar

Margolin G. Effects of witnessing violence on children. In: Trickett PK, Schellenbach CJ, eds. Violence against children in the family and in the community. Washington DC: American Psychological Association; 1998: 57–101.CrossRefGoogle Scholar